Barbara Riegel
Biographic Data
| ID | 6205630 |
|---|---|
| NAME | Barbara Riegel |
| GIVEN NAMES | Barbara |
| FAMILY NAME | Riegel |
| SIGNATURE | RIEGEL B |
| AFFILIATIONS | University of Pennsylvania |
| ORCID | 0000-0002-0970-136X |
| VERIFIED | Yes |
| TOTAL WORKS | 13 |
| TOTAL CITATIONS | 3 |
| WORKS AS AUTHOR | 13 |
| WORKS AS EDITOR | 0 |
| FIRST PUBLICATION YEAR | 2003 |
| LATEST PUBLICATION YEAR | 2023 |
| H-INDEX | 1 |
A Middle-Range Theory of Social Isolation in Chronic Illness
Chronic illnesses and social isolation are major public phenomena that drive health and social policy worldwide. This article describes a middle-range theory of social isolation as experienced by chronically ill individuals. Key concepts include social disconnectedness, loneliness, and chronic illness. Antecedents of social isolation include predisposing factors (e.g., ageism and immigration) and precipitating factors (e.g., stigma and grief). Ou…
Symptom Recognition as a Mediator in the Self-Care of Chronic Illness
Background The recognition of a symptom is needed to initiate a decision to engage in a behavior to ameliorate the symptom. Yet, a surprising number of individuals fail to detect symptoms and delay in addressing early warnings of a health problem. Purpose The aim of this study was to test the hypothesis that symptom recognition mediates the relationship between monitoring for and management of symptoms of a chronic illness. Methods A secondary an…
Measuring self-care in the general adult population
The SCI is a theoretically based instrument designed to measure self-care in the general adult population. Preliminary evidence of validity and reliability supports its use in the general adult population
A Convergent Mixed Methods Study of Cardiovascular Disease Risk Factors among Young Blac k Men in the United States
Our findings help to identify modifiable, culturally specific and contextually relevant factors that relate to CVD risk factors among young Black men. Such work is crucial to inform interventions, primary prevention efforts, policies, and social-structural changes to thwart the development of CVD and advanced disease stages
Effectiveness of motivational interviewing on anxiety, depression, sleep quality and quality of life in heart failure patients
Clinicians may want to include both patients and caregivers when providing MI interventions. Further research is needed to investigate the required intensity of MI to be effective on sleep quality, anxiety and depression (ClinicalTrials.gov Identifier: NCT02894502)
Marginalization
Scientific advances in health care have been disproportionately distributed across social strata. Disease burden is also disproportionately distributed, with marginalized groups having the highest risk of poor health outcomes. Social determinants are thought to influence health care delivery and the management of chronic diseases among marginalized groups, but the current conceptualization of social determinants lacks a critical focus on the expe…
Improving Women's Cardiovascular Health
Cardiovascular disease (CVD) is the number one killer of women worldwide, and it remains the primary cause of death and disability in both developed and developing countries. The International Council on Women's Health Issues is an international nonprofit association dedicated to the goals of promoting the health, health care, and the well-being of women. Based on the outcomes of a facilitated discussion at its 18th biannual meeting, delegates ai…
Relationship of Persistent Symptoms of Anxiety to Morbidity and Mortality Outcomes in Patients With Coronary Heart Disease
OBJECTIVE: To examine the association of symptoms of persistent anxiety with the development of acute cardiac events in patients with coronary heart disease (CHD) followed for 2 years. The prevalence of symptoms of anxiety is high in patients with CHD, but their effect on cardiac events and mortality has not been well characterized. METHODS: Of 3522 patients with confirmed CHD enrolled, data on symptoms of anxiety were available at two time point…
How Do Cognitive Function and Knowledge Affect Heart Failure Self-Care
Despite extensive patient education, few heart failure (HF) patients master self-care. Impaired cognitive function may explain why patient education is ineffective. A concurrent triangulation mixed methods design was used to explore how knowledge and cognitive function influence HF self-care. A total of 41 adults with HF participated in interviews about self-care and completed standardized instruments measuring knowledge, cognitive function, and …
Impact of Anxiety and Perceived Control on In-Hospital Complications After Acute Myocardial Infarction
OBJECTIVES: We tested the hypothesis that perception of control moderates any relationship between anxiety and in-hospital complications (i.e., recurrent ischemia, reinfarction, sustained ventricular tachycardia or fibrillation, and cardiac death) in patients with acute myocardial infarction (AMI). BACKGROUND: Anxiety is common among patients with AMI, but whether it is associated with poorer outcomes is controversial. Conflicting findings about …
An International Perspective on Gender Differences in Anxiety Early After Acute Myocardial Infarction
OBJECTIVE: Higher anxiety is linked to poorer outcomes after acute myocardial infarction (AMI), including increased in-hospital reinfarction and potentially life-threatening complications. If clinicians can identify patients at greatest risk for anxiety after AMI, they can institute early treatment. Previous research on the influence of gender on the incidence of anxiety post-AMI reflects inconsistent findings, and differences across cultures hav…
Changes over 6-months in health-related quality of life in a matched sample of hispanics and non-hispanics with heart failure
Perceived Effects of Testosterone Replacement Therapy in Perimenopausal and Postmenopausal Women
Women experience somatic, mood, energy, and libido changes during menopause. Testosterone replacement therapy is being prescribed in conjunction with estrogen replacement therapy (ERT) for these symptoms. Little is known about women's perceptions of the benefits and risks of testosterone, so an Internet survey was conducted to elicit women's perceptions of the effects on mood, energy, sexuality, and somatic symptoms. A sample of 61 women primaril…
How Do Cognitive Function and Knowledge Affect Heart Failure Self-Care
Despite extensive patient education, few heart failure (HF) patients master self-care. Impaired cognitive function may explain why patient education is ineffective. A concurrent triangulation mixed methods design was used to explore how knowledge and cognitive function influence HF self-care. A total of 41 adults with HF participated in interviews about self-care and completed standardized instruments measuring knowledge, cognitive function, and …
An International Perspective on Gender Differences in Anxiety Early After Acute Myocardial Infarction
OBJECTIVE: Higher anxiety is linked to poorer outcomes after acute myocardial infarction (AMI), including increased in-hospital reinfarction and potentially life-threatening complications. If clinicians can identify patients at greatest risk for anxiety after AMI, they can institute early treatment. Previous research on the influence of gender on the incidence of anxiety post-AMI reflects inconsistent findings, and differences across cultures hav…
Changes over 6-months in health-related quality of life in a matched sample of hispanics and non-hispanics with heart failure
Perceived Effects of Testosterone Replacement Therapy in Perimenopausal and Postmenopausal Women
Women experience somatic, mood, energy, and libido changes during menopause. Testosterone replacement therapy is being prescribed in conjunction with estrogen replacement therapy (ERT) for these symptoms. Little is known about women's perceptions of the benefits and risks of testosterone, so an Internet survey was conducted to elicit women's perceptions of the effects on mood, energy, sexuality, and somatic symptoms. A sample of 61 women primaril…
Impact of Anxiety and Perceived Control on In-Hospital Complications After Acute Myocardial Infarction
OBJECTIVES: We tested the hypothesis that perception of control moderates any relationship between anxiety and in-hospital complications (i.e., recurrent ischemia, reinfarction, sustained ventricular tachycardia or fibrillation, and cardiac death) in patients with acute myocardial infarction (AMI). BACKGROUND: Anxiety is common among patients with AMI, but whether it is associated with poorer outcomes is controversial. Conflicting findings about …
Relationship of Persistent Symptoms of Anxiety to Morbidity and Mortality Outcomes in Patients With Coronary Heart Disease
OBJECTIVE: To examine the association of symptoms of persistent anxiety with the development of acute cardiac events in patients with coronary heart disease (CHD) followed for 2 years. The prevalence of symptoms of anxiety is high in patients with CHD, but their effect on cardiac events and mortality has not been well characterized. METHODS: Of 3522 patients with confirmed CHD enrolled, data on symptoms of anxiety were available at two time point…
How Do Cognitive Function and Knowledge Affect Heart Failure Self-Care
Despite extensive patient education, few heart failure (HF) patients master self-care. Impaired cognitive function may explain why patient education is ineffective. A concurrent triangulation mixed methods design was used to explore how knowledge and cognitive function influence HF self-care. A total of 41 adults with HF participated in interviews about self-care and completed standardized instruments measuring knowledge, cognitive function, and …
Improving Women's Cardiovascular Health
Cardiovascular disease (CVD) is the number one killer of women worldwide, and it remains the primary cause of death and disability in both developed and developing countries. The International Council on Women's Health Issues is an international nonprofit association dedicated to the goals of promoting the health, health care, and the well-being of women. Based on the outcomes of a facilitated discussion at its 18th biannual meeting, delegates ai…
Marginalization
Scientific advances in health care have been disproportionately distributed across social strata. Disease burden is also disproportionately distributed, with marginalized groups having the highest risk of poor health outcomes. Social determinants are thought to influence health care delivery and the management of chronic diseases among marginalized groups, but the current conceptualization of social determinants lacks a critical focus on the expe…
Effectiveness of motivational interviewing on anxiety, depression, sleep quality and quality of life in heart failure patients
Clinicians may want to include both patients and caregivers when providing MI interventions. Further research is needed to investigate the required intensity of MI to be effective on sleep quality, anxiety and depression (ClinicalTrials.gov Identifier: NCT02894502)
Symptom Recognition as a Mediator in the Self-Care of Chronic Illness
Background The recognition of a symptom is needed to initiate a decision to engage in a behavior to ameliorate the symptom. Yet, a surprising number of individuals fail to detect symptoms and delay in addressing early warnings of a health problem. Purpose The aim of this study was to test the hypothesis that symptom recognition mediates the relationship between monitoring for and management of symptoms of a chronic illness. Methods A secondary an…
Measuring self-care in the general adult population
The SCI is a theoretically based instrument designed to measure self-care in the general adult population. Preliminary evidence of validity and reliability supports its use in the general adult population
A Convergent Mixed Methods Study of Cardiovascular Disease Risk Factors among Young Blac k Men in the United States
Our findings help to identify modifiable, culturally specific and contextually relevant factors that relate to CVD risk factors among young Black men. Such work is crucial to inform interventions, primary prevention efforts, policies, and social-structural changes to thwart the development of CVD and advanced disease stages
A Middle-Range Theory of Social Isolation in Chronic Illness
Chronic illnesses and social isolation are major public phenomena that drive health and social policy worldwide. This article describes a middle-range theory of social isolation as experienced by chronically ill individuals. Key concepts include social disconnectedness, loneliness, and chronic illness. Antecedents of social isolation include predisposing factors (e.g., ageism and immigration) and precipitating factors (e.g., stigma and grief). Ou…
Medicine (12 works) · Internal Medicine (7 works) · Clinical Psychology (6 works) · Psychiatry (6 works) · Anxiety (4 works) · Cardiac Health and Mental Health (4 works) · Clinical Psychology (4 works) · Health care (4 works) · Medication Adherence and Compliance (4 works) · Psychology (4 works)